Binita Gautam

Family background
They are from Kavre district They are five family members. Her father is 30 years old. He is a taxi driver. Her mother is 27 years old. She is a house wife. She has one older brother and one is younger brother. They are students.Medical background
When she was five months old she crawled in the open cooking fire in her house because of she doesn’t have toes anymore and has difficulties in her balance. While walking she needs all her concentration. She didn’t go to school before she joint us. In may she had her last operation in HRDC in banepa for plastic surgery for which she had her last check up in september 2005. HRDC provided her with orthopaedic shoes. Since 2008 diagnosed with a metabolic disease. She slowly detorioted.First impression
She is a nice girl, like to make jokes. After being brought by her aunt. She cried a little but was adjusted quite easily. Her movements and speech are a little bit slow. She is able to walk, but slowly and imbalanced. She is not lazy in doing things on her own.
Intervention plan
1. Regular physiotherapy
2. Daycare
3. Regular Consultation with neuro Doctor
4. Regular Consultation with orthopedic Doctor
5. Regular follow up at HRDC.